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[Clinical analysis of the patients with mumps]
1Hospital of Siauliai, V. Kudirkos 99, Lithuania. aidask@splius.lt
Abstract:
Mump morbidity in Lithuania and the City of Siauliai has rapidly increased in 1999; 5946 and 879, respectively. During the past decade, the number of cases was much lower: in Lithuania from 383 to 632, and in the City of Siauliai from 6 to 31. There were 87 cases of mumps diagnosed (M-72, F-15). The age of patients was 15-42 years. Most patients were 15-20 years old. The majority of patients was admitted to the department in spring and summer. The most common acute symptoms of mumps were: fever (97.70%) and painful enlargement of the salivary glands (71.26%). Rare symptoms were: painful swallowing, weakness, nausea and vomiting. Orchitis was observed in 43 patients (59.72% of male) and increasing of amylases in 52 patients (59.77%). Meningitis developed in 15 patients while 1 of them had cochleoneuritis, which led to deafness. The duration of treatment in hospital was 3-39 days (avg. 8.29). Two pregnant women were treated with mumps in our department. The condition of their fetus was not affected.
Insights
Mumps cases surged in Lithuania and Siauliai in 1999, primarily affecting young adults aged 15-20. Common symptoms included fever and salivary gland swelling, with complications like orchitis and meningitis observed.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Mumps morbidity experienced a significant increase in Lithuania and the City of Siauliai in 1999.
- This contrasts with lower case numbers observed over the preceding decade.
Purpose of the Study:
- To analyze the epidemiological characteristics and clinical manifestations of mumps cases.
- To report on complications and treatment outcomes during the observed outbreak.
Main Methods:
- Retrospective analysis of 87 diagnosed mumps cases.
- Data collection on patient demographics, symptoms, complications, and treatment duration.
Main Results:
- A sharp rise in mumps cases in 1999 (5946 in Lithuania, 879 in Siauliai).
- Most affected individuals were aged 15-42, with a peak incidence in the 15-20 age group.
- Common symptoms included fever (97.70%) and parotitis (71.26%). Orchitis (59.72% of males) and meningitis (15 patients) were significant complications. Hearing loss occurred in one patient.
- Average hospital stay was 8.29 days. Two pregnant women had mumps with no adverse fetal outcomes.
Conclusions:
- The 1999 mumps outbreak in Lithuania and Siauliai predominantly affected young adults.
- Clinical presentation commonly involved fever and parotitis, with notable rates of orchitis and meningitis.
- Mumps during pregnancy did not negatively impact fetal development in this cohort.
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